| NPI | 1992775696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN W SHELLEY President 864-458-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 28578) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 17064) |
| 207W00000X Ophthalmology (Licence: SC 14023) | |
| 207W00000X Ophthalmology | |
| 207W00000X Ophthalmology (Licence: SC 24224) | |
| 207W00000X Ophthalmology (Licence: SC 11002) | |
| 152W00000X Optometrist (Licence: SC 646) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-09-23 |